Provider Demographics
NPI:1346968757
Name:LSMITH LLC
Entity Type:Organization
Organization Name:LSMITH LLC
Other - Org Name:MENTAL HEALTH MATTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:NP, PMHNP
Authorized Official - Phone:402-452-9856
Mailing Address - Street 1:2821 S 108TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4800
Mailing Address - Country:US
Mailing Address - Phone:402-452-9856
Mailing Address - Fax:833-471-6245
Practice Address - Street 1:2821 S 108TH ST STE 3
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4800
Practice Address - Country:US
Practice Address - Phone:402-452-9856
Practice Address - Fax:833-471-6245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10027648401Medicaid